Change your bank account details

Use this form to update your bank account number and any other details used for your current direct debit

Contact Details

First Name
*

Last Name
*

Email
*

Confirm Email
*

Mobile Phone

Home Phone

Address
*

Payment Details

Start Date for Direct Debit:
*

Select the date for your first direct debit payment. Future payments for weekly
and fortnightly payment plans will be taken on the same day of the week as your
initial payment. Monthly, bi-annual and annual payment plans will be taken each
month on the same calendar day as your initial payment. We are unable to process
direct debit payments on Public Holidays. Regular payments that would normally fall
on a public holiday will be processed the following business day.

Bank Details

Bank Account Name:
*

Name of the Authorised Account Signatory:

If different from the bank account name

Bank:
*

Account Number:
*

Please enter your account number in the format 00-0000-0000000-000

Statement Reference:

The reference shown on your bank statement when we debit your account will be Northland Waste Limited.

Rather fill out a paper form? Download the Direct Debit Authority and post it back to us at PO Box 11116, Whangarei 0148

I confirm I have sole authority over the bank account nominated above *(NB: sole authority is defined as any one person who is a nominated account signatory that
can operate the account alone, as per the account mandate instructions. This can apply to joint
accounts please check with your bank if necessary).
A confirmation letter will be sent to you within 5 business days. Should you wish to query,
amend or cancel these instructions please contact us.
If you do not have sole authority over the nominated bank account,
please complete a Direct Debit Authority and return it to us.